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J.R. Simplot Company SEND RESULTS TO ALL PARTIES LISTED BELOW. <br /> P.O. Box 198 <br /> Lathrop, CA 95330 Jacob Staley 209-858-6427 <br /> 209-858-2511 <br /> Krista Kinsey 208-780-7241 <br /> Rita Dunn 209-858-6470 <br /> Krista.Kinseve-simnlot.com <br /> JacoJtaley Sirnplot.com <br /> Rita.DunnSimplot.com <br /> Project ID NA Project CFA Used Reagents <br /> Name: <br /> i <br /> Remarks: <br /> COLLECTED BY: Jacob Staley <br /> SPECIAL Analyze for pH also. <br /> INSTRUCTIONS: Only run the STLC on any CAM 17 metals that exceed the l OX Rule <br /> (X) CAM 17-TTLC TURNAROUND <br /> ANALYSIS ( ) 8 Metal TCLP TIME <br /> REQUESTED (X ) STLC IOX Only(if needed) <br /> (X) Other,Note above in Special Instructions Section <br /> —1 <br /> i <br /> Sample ID I Lab ID Collection Matrix (dotes or Sample Map, Etc. <br /> Date <br /> A 47 <br /> CFA Used Reagentsta.7 02/10/2023 # igrrix <br /> SO <br /> JIYF�4 <br /> 1 <br /> Relinquished By: Jacob Staley Date 20/10/2023 Received By. p ` � ��(� Date <br /> &Time 1:00 pm I /` Y &Time <br /> Relinquished By: Date Received By: Date <br /> &Time &Time <br /> Send Sample To: Enviro-Chem, Inc. Laboratories <br /> 1214 E. Lexington Avenue <br /> Pomona, CA 91766 <br /> Ph: 909-590-5905 <br /> Fax: 909-.590-5907 <br /> CA-DHS ELAP Certificate #1555 <br /> CHAIN OF CUSTODY RECORD <br />